Individual
ALEXANDER KYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(603) 734-0002
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 462-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11023770A
IN
207R00000X
Internal Medicine Physician
125.080042
IL
208100000X
Physical Medicine & Rehabilitation Physician
125.080042
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2022
Last updated
06/29/2025
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